| New Moon Rising Therapy Services Llc | |
|
1209 E 2nd St Sanford FL 32771-1413 | |
| (407) 385-0744 | |
| Not Available |
| Full Name | New Moon Rising Therapy Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1209 E 2nd St, Sanford, Florida |
| Authorized Official Name and Position | Erika M. Dodd (PRESIDENT) |
| Authorized Official Contact | 4073850744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Moon Rising Therapy Services Llc 1209 E 2nd St Sanford FL 32771-1413 Ph: () - | New Moon Rising Therapy Services Llc 1209 E 2nd St Sanford FL 32771-1413 Ph: (407) 385-0744 |
| NPI Number | 1649032186 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649032186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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